| NPI | 1386724375 |
|---|---|
| Doing Business As | OPTUMCARE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN LEE VANDER WALL Md 562-594-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G065045) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-04-26 |